Care Home: Queensmead

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What the care home does well The home carries out needs assessments before offering prospective residents a placement at the home. This process ensures that the home complies with its conditions of registration and makes sure it can meet the needs of the people admitted for residential care. Residents are treated with respect and dignity by the staff and there were good relationships between the two. Medicines are administered safely by trained members of staff. A range of activities are arranged to provide stimulation for residents. Residents are able to maintain contact with friends and relatives. The home provides a good standard and choice of food. The home has well publicised formal complaints` procedures and staff have been trained in the protection of vulnerable adults. The home provides a warm, safe and well maintained environment for residents. The home provides staffing levels that meet the needs of residents. Staff were found to have been recruited in line with current regulatory guidelines. The organisation provides a good level of training in the staff so that they are competent to meet the needs of the residents. The home is well managed and run in the interests of the residents. What has improved since the last inspection? Residents` health care needs are met through the home`s care planning systems with care plans reflecting the needs of residents and support required by the staff. We found that the home had complied with one requirement and three recommendations concerning the administration of medicines. What the care home could do better: Improvements could be made to the daily recording made by the staff concerning residents, in that the records could better reflect how residents spend their days and not just record care tasks undertaken. We recommend that the manager put systems in place to ensure that all monitoring charts are dated in order to maintain accurate records that are useful. Residents will benefit from the recruitment of the activities coordinator post.Wardrobes should be risk assessed as to their potential for being toppled over and where such a risk is identified, the wardrobe should be bracketed to the wall. Key inspection report Care homes for older people Name: Address: Queensmead 1 Bronte Avenue Christchurch Dorset BH23 2LX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Martin Bayne     Date: 1 0 0 2 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Queensmead 1 Bronte Avenue Christchurch Dorset BH23 2LX 01202485176 01202487805 queensmead@care-south.co.uk www.care-south.co.uk Care South Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janine Amanda May Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 36 in the category OP (Old Age) and 4 in the categories DE(E) and/or MD(E). Date of last inspection Brief description of the care home Queensmead is registered with the Commission for Social Care Inspection to accommodate 40 older people including 4 places for people with a diagnosis of dementia or mental illness. Queensmead is operated by Care South, a non-profit making organisation with several residential homes and community services across the South West. Care Homes for Older People Page 4 of 27 Over 65 4 4 36 0 0 0 1 1 0 3 2 0 0 9 Brief description of the care home The home is situated in a residential estate close to Christchurch Hospital and one mile from the town centre. Queensmead is a purpose built home set in large, wellmaintained grounds. Local shops and amenities are available within a short distance. The premises extend over 3 floors with service users accommodated on every floor. The ground floor comprises 11 bedrooms, an assisted bathroom, 8 separate toilets, a dining room, three lounges and a conservatory. The first floor has 15 single bedrooms, 2 bathrooms, one shower room and two separate toilets. The second floor has the remaining 14 bedrooms, two further bathrooms and two separate toilets. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We, the Commission, carried out a key inspection of Queensmead between 10am and 4pm on 10th Feb 2010. The inspection was carried out by two inspectors and throughout the report the term we is used, to show that the report is the view of the Care Quality Commission. The aim of the inspection was to evaluate the home against the key National Minimum Standards for older persons, and to follow up on the three requirements and four recommendations made at the last key inspection of the home in March 2009. Since the last key inspection, the registered manager has ceased working at the home and in September 2009 a new manager was appointed by Care South to run the home. We were assisted throughout the inspection by the new manager. During the inspection we spoke with two members of staff, two visiting relatives and about a third of the residents living at the home. On the day of our inspection there were 31 people accommodated. Throughout the inspection we used a sample of four residents files to Care Homes for Older People Page 6 of 27 track care planning and other records that the home is required to keep under regulation. We also carried out a tour of the premises. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: Improvements could be made to the daily recording made by the staff concerning residents, in that the records could better reflect how residents spend their days and not just record care tasks undertaken. We recommend that the manager put systems in place to ensure that all monitoring charts are dated in order to maintain accurate records that are useful. Residents will benefit from the recruitment of the activities coordinator post. Care Homes for Older People Page 8 of 27 Wardrobes should be risk assessed as to their potential for being toppled over and where such a risk is identified, the wardrobe should be bracketed to the wall. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents benefit by having their needs assessed before being offered a placement at the home, to make sure their needs can be met. Evidence: Two of the four residents we tracked through the inspection had been admitted to the home since the last key inspection in March 2009. We saw that both these people had had their needs assessed before being offered a placement at the home. This process makes sure that the home only admits those people whose needs it can meet. Signed and dated records of these preadmission assessments were held on the residents files. Queensmeads registration allows for four residents to be admitted to the home with dementia. Some of the residents have lived at the home for many years and have developed memory loss over that time and so there are now more than four people living at the home with a diagnosis of dementia. We discussed with the manager that Care Homes for Older People Page 11 of 27 Evidence: without a variation to the conditions of registration, the home cannot admit any more people with dementia. The manager was aware of this and also of how to make a variation to the Commission should they wish to accommodate more people at the home with dementia. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from their health care needs being met through the homes care planning systems, by being treated with respect and dignity and by having medication administered safely by trained staff. Evidence: We looked at the care plans for the residents we tracked through the inspection. We saw that there was a photograph at the front of their care plan that enables new members of staff to easily identify residents. We saw that once a person is admitted to the home, further assessments such as moving and handling, skin-care, personal care needs, general risk assessments and nutritional assessments were carried out with the residents, and that these were then used to develop their care plan. We saw that residents or their representatives had been involved in this process by their signing the care plans. We also saw that care plans were being reviewed each month to make sure that they were up-to-date. At the last key inspection a requirement had been made for care plans to reflect health care needs and how these should be met through staff intervention. We saw Care Homes for Older People Page 13 of 27 Evidence: examples at this inspection of where the home had sought advice and support appropriately for GP intervention and assistance from the community mental health team to meet residents assessed needs. We also saw that other health-care needs relating to dentistry, chiropody and ophthalmology were being addressed appropriately. We saw that one resident who had skin breakdown, a referral had been made for district nurse intervention and the staff were now working together with district nurses. During the inspection we spoke with two relatives and also with residents of the home. They told us that health care needs were being met through the care planning systems of the home. At this inspection we found that the care plans reflected the needs of the residents concerned and we saw evidence that the care plans informed staff of how to meet these health care needs of residents. We were therefore satisfied that the requirement had been met. We did find however, that the daily recording notes could be improved. The entries made by staff were task orientated and could better reflect how residents spend their days of the home. We made a recommendation to this effect. In respect of one resident, where staff had been directed to maintain turning charts and other monitoring charts, we found that some of the sheets had not been dated. We recommend that the manager put systems in place to ensure that all monitoring charts are dated, in order to maintain accurate records that are useful. Both residents and relatives we spoke with told us that the staff team were knowledgeable, kind and respectful of residents privacy and dignity. One resident described the staff as wonderful and there was positive feedback about the staff from all the people we spoke with. Throughout the inspection we observed interactions between staff and residents and we saw that there were good relationships between the two. We looked at how medication was being administered in the home. At the last key inspection a requirement was made that where a variable dose of a medication is prescribed, staff must record the amount actually administered. We saw examples at this inspection of where this practice had been adopted, thus meeting the requirement. At the last inspection three recommendations were made concerning medication administration; firstly, that when as required medication is prescribed, there should be advice to staff as to when and what circumstances under which the medicine is administered, secondly, that where hand written instructions are made to the administration records, these are checked and signed by a second member of staff for accuracy. Thirdly, that the index of the controlled drugs register should be used to simplify ordered processes. We found at this inspection that the home had complied with these three recommendations. Care Homes for Older People Page 14 of 27 Evidence: Generally we found that medication was being administered safely with there being no gaps within the records of administration and that staff who administered medication had been trained in safe medication administration. We also found that the storage facilities for medicines met standards. Care Homes for Older People Page 15 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from being able to maintain contact with friends and families and being provided with a good standard of food; the appointment of an activities coordinator should benefit residents through more stimulation being provided. Evidence: We were told that there was currently a vacancy for an activities coordinator within the staff team. The residents we spoke with told us that they were satisfied with the levels of activities provided at the home. On the walls of some of the corridors were photographs of activities that had been organised, such as the Christmas party and a visit to a local pub for a meal. We saw that some group activities were arranged with residents such as games, entertainers and exercise groups, however we would recommend that the activities coordinator post is filled as soon as possible. In the afternoon of the inspection we were able to observe the main lounge. We saw staff interacting appropriately with residents but it was our view that residents would benefit from more stimulation, such as could be provided by an activities coordinator. Residents spiritual needs are assessed as part of the assessment programme when a person moves into the home. We were told that there is currently a Holy Communion service provided by a visiting member of the clergy in the home. Care Homes for Older People Page 16 of 27 Evidence: The relatives we spoke with told that they could visit at any time and that they were always made welcome at the home. They told us that the staff were excellent and that they had peace of mind when they left the home that their relatives were being well cared for. One of the relatives we spoke with told us that they often visited mealtimes and so could confirm that the food was of a good standard. This view was shared by the residents we spoke with and on the day of our inspection we saw that a wholesome and nutritious meal was being provided for all of the residents. We were told that those residents who needed assistance with eating were catered for in the small dining area and there were sufficient members of staff to assist with feeding these residents. We saw that choices of meals were available. Care Homes for Older People Page 17 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well-publicised complaints procedure and through the staff being trained in the protection of vulnerable adults. Evidence: The complaints procedure to the home is displayed in the hallway and is also detailed in the Service User Guide, a copy of which is available in the home and given to all prospective residents and relatives. The home therefore has well publicised complaints procedures. We were told that since the last key inspection no formal complaints had been made to the management of the home and none have been brought to the attention of the Commission. Since the last inspection there has been one safeguarding referral investigated by the local authority, which was found to be unsubstantiated. The home has all the relevant policies and procedures concerning the protection of vulnerable adults and all the staff had received training in this field. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Queensmead provides a warm and comfortable environment for residents, with infection control measures in place to minimise the risks of cross infection. Evidence: As part of the inspection we carried out a tour of the premises. On the day of our visit the home was found to the warm, clean, in reasonable decorative order and with furniture and fittings generally in a good state of repair. The manager was aware of some of the areas that needed redecoration and we found that there was a programme for ongoing maintenance. The home provides communal areas of two main lounge areas, a large dining area and a second smaller area, communal bathrooms and toilets and a large garden area that residents can use in more clement weather. All bedrooms are for single occupancy. We saw within residents bedrooms we viewed that residents could bring their own possessions and furniture to personalise their rooms. We found that residents were protected from the risk of burns from hot surfaces, as radiators in the bathrooms and bedrooms had been covered appropriately. We also found that residents were protected from scalding hot water by thermostatic mixer valves being fitted to hot water outlets of baths. We recommend that wardrobes in the residents bedrooms are risk assessed as to their likelihood of being toppled over, and where such a risk exists the wardrobe be bracketed to the wall. Care Homes for Older People Page 19 of 27 Evidence: Concerning infection control, the home has a sluicing areas on each floor of the home and the home has a large well maintained laundry area equipped with commercial machines to meet the laundry needs of the home. The laundry room provides hand washing facilities and walls and floor surfaces were easily cleanable. We saw that staff will protective clothing appropriately and that alcohol hand gels were strategically placed around home. We saw that within communal bathrooms, liquid soap, paper towels and lidded bins were provided to maintain infection control standards. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well trained staff team, deployed in sufficient numbers to meet the needs of residents and through the staff being recruited in line with current legislation. Evidence: During the inspection we spoke with two members of staff, residents of the home and with two relatives. They will told us that the staffing levels met the needs of the current resident group. We were told that between 7:15am and 2:15pm there were five care staff on duty as well as a care team manager. From 2:15pm to 9:45pm, four care staff and a care team manager. During the night-time period we were told that there were two awake members of staff and one care team manager who carries out a sleep-in duty. The manager told us that should occupancy levels increase, the home had capacity to increase the care staff from five to six members of staff in the morning and from four to five members of staff in the afternoon. In addition to the care staff team the home employs a full time manager, deputy, kitchen staff and dining room assistants, laundry assistants, three domestic cleaning staff who work five hours a day seven days a week, and an administrative assistant. We looked at the staff recruitment files of three members of staff who had been recruited to the staff team since the last key inspection. We found that all the necessary recruitment checks as detailed within Schedule 2 of the Care Homes Care Homes for Older People Page 21 of 27 Evidence: Regulations 2001 had been complied with. These checks include the taking up of a criminal record bureau check, taking up of two written references, a check against the register of adults deemed unsuitable to work with vulnerable adults, a health declaration, and a full employment history recording why the person had left care positions and explaining gaps within their employment record. We saw good practice of risk assessments having been carried out where staff had been found to have convictions on the criminal record bureau check. We looked at the training records for the sample of staff we tracked through the inspection. We found that the staff had all had core mandatory training and that there were processes to ensure that staff receive refresher training. The staff we spoke with told us that they received regular supervision where they could discuss training needs and receive support. We were told that the home had now achieved a level of about 50 of staff trained to level of NVQ level 2 or above. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the interests of the residents. Evidence: The new manager of the home took up that post in September and they are currently in the process registration to become manager of the home with the Commission. The new manager holds the registered managers award and has also achieved NVQ level 4 management. The manager of the home is supported by senior managers of the organisation who visit the home to carry out monthly unannounced visits, after which reports of the conduct of the home are completed and these were available for inspection. We looked at these reports and found that there was good overall supervision of the home. Some of the residents have small sums of money looked after for them with this being kept in the safe in the office. We looked at the records of money held on behalf of the three residents we tracked through the inspection and found that there were good records in place. The records detailed money deposited and withdrawn together with Care Homes for Older People Page 23 of 27 Evidence: the balance of money held. We found that the balance of money held tallied with the amounts of money being held in the safe. We also saw that there was monthly auditing by the senior managers of the organisation, which is good practice. We looked at the fire logbook and found that tests and inspections of the fire safety system were taking place to the required timescales. The home had also carried out a fire risk assessment as required and we also saw that the staff received biannual fire safety training as required. We looked at other records that indicated that tests of portable electrical equipment wiring, servicing of equipment such as boilers, lifts and hoists were also taking place to the required timescales. The home had therefore complied with a requirement made last inspection concerning evidence of the servicing of the gas and electrical installations. The home carries out an annual quality assurance assessment, by sending out surveys to residents, relatives and other professionals who have been an input into the home. We saw that this process is used for the continued improvement of the services provided at Queensmead. We were therefore satisfied that the home is run in the interests of the residents. We looked at the record of accidents and saw that these cross-referenced with notifications required to be submitted to the Commission. We saw that the home also carries out an analysis of accidents looking for trends that could reduce the risk of accidents occurring at the home. At the last inspection a requirement was made concerning the use of alarm pads and the need to make sure that these are used in accordance with robust consent and assessment processes. We saw at this inspection that risk assessments and consent had been sought for the use of alarm pads. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 We recommend that when staff make daily recordings concerning the residents, they include information about how residents spend their day, not just entries about daily tasks having been completed. We recommend that systems are put in place to make sure that monitoring charts are dated so as to provide a useful record of staff intervention. We recommdend that the post of activities coordinator be filled as soon as possible. We recommend that wardrobes in the residents bedrooms are risk assessed as to their likelihood of being toppled over, and where such a risk exists the wardrobe be bracketed to the wall. 2 7 3 4 12 19 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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